Risk Adjustment Auditor Educator

Position Purpose: Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care.Subject matter experts for proper risk adjustment coding and CMS data validationAnalyze MRA data to identify patterns and development of interventions at...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote in NV.Position Purpose: Conduct provider medical record...

Job DescriptionJob DescriptionGig Workers Wanted!   Are you tired of working for someone else?  Have you thought about building a business for yourself?  If you answered yes to either question – Welcome!  We are excited to introduce Davies Risk Services to you!  Our Premium Auditors come from various backgrounds.  If you are inquisitive, driven &...

About the RoleAt BankTalent HQ, we are seeking a highly skilled Staff Auditor to join our team. As a Staff Auditor, you will play a critical role in providing independent, objective assurance and consulting services to add value and improve our operations.Key ResponsibilitiesPlan and execute tests of management's key controls to ensure their effectiveness...

About AdvantmedWe are a leading provider of risk adjustment, quality improvement, and value-based solutions to health plans and providers. Our mission is to drive market-leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners.We focus on identifying, managing, and...

About the RoleStanford University is seeking a highly skilled Internal Auditor to join our team in the Office of the Chief Risk Officer. As a key member of our team, you will be responsible for conducting financial, operational, and compliance audits to assess the adequacy and effectiveness of systems, processes, and controls at Stanford University.Key...

About AdvantmedAdvantmed is a leading provider of risk adjustment, quality improvement, and value-based solutions to health plans and providers. We drive market-leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners.Our MissionWe are dedicated to delivering exceptional...

About AdvantmedAdvantmed is a leading provider of risk adjustment, quality improvement, and value-based solutions to health plans and providers. We drive market-leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and...

About Us: We are dedicated to maintaining the highest standards of integrity and accountability in our financial practices. As a leading financial firm we strive to deliver exceptional service and build longlasting relationships with our clients. We are currently seeking a detailoriented and analytical Auditor to join our dynamic team. Job Description:...

INTEGRIS Health Corporate Office, Oklahoma’s largest not-for-profit health system has a great opportunity for a Claims Adjuster in Oklahoma City, OK. In this position, you’ll be a part of our Risk Management team providing exceptional work supporting the INTEGRIS Health caregivers and the community at large. If our mission of partnering with people to...

Job Description: This position will audit University departments and programs for compliance with applicable laws, policies, and procedures, test internal controls, and make recommendations to improve business processes. Duties and Responsibilities: Performs audits which include reviewing accounting policies and procedures, providing analytical reviews,...

About the job Gxp Auditor GxP Auditor is an integral member of the Quality and Compliance team. The GxP Auditor is responsible for planning and conducting scheduled quality audits on behalf of RxCloud. This position will also act as a Subject Matter Expert (SME) for GxP auditing and quality projects. It will be responsible for supporting the ongoing...

Overview At MidWestOne, our people are number one in everything we do. We are a community bank with a culture based on integrity and customer care. The people on our team are the foundation of our success. If you're ready to work for an organization that values you, develops your talents and helps you grow personally and professionally, then look no further....

MAIN FUNCTION: We are seeking an objective Internal Auditor to add value and improve our operations by bringing a systematic and disciplined approach to the effectiveness of risk management, control, and governance processes. The successful candidate will possess a thorough knowledge of accounting procedures and a sound judgment. QUALIFICATIONS: Proven...

**MUST HAVE AT LEAST TWO of these certifications: CRISC, CISA, CISSP, CRISC, CIA, CISM, CGEIT, or other relevant certification **Able to be remote within TEXAS - expected to come into Austin office 1-2 times a month, as needed. Candidate should live close to Austin WORK DESCRIPTION: The IT Auditor works with business and IT Management to plan and perform...

Salary: See Position Description Location : Suite 700, OR Job Type: Non-Union Regular Full-Time Department: General Manager Administration Division: Internal Audit DescriptionThis role represents a pivotal function within the Internal Audit team, contributing significantly to the provision of independent and objective evaluations of TriMet's IT landscape....

SUMMARY: The Compliance Auditor and Educator will participate in the performance of medical record audits of all College of Medicine Departments involved with billing third-party payers . Will also serve as an educator for physicians, residents, and billing/coding staff regarding coding and documentation requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES:...

SUMMARY: The Compliance Auditor and Educator will participate in the performance of medical record audits of all College of Medicine Departments involved with billing third-party payers . Will also serve as an educator for physicians, residents, and billing/coding staff regarding coding and documentation requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES:...

Overview: At MidWestOne, our people are number one in everything we do. We are a community bank with a culture based on integrity and customer care. The people on our team are the foundation of our success. If you're ready to work for an organization that values you, develops your talents and helps you grow personally and professionally, then look no...

About Stanford University:Stanford University stands as a leading institution in Silicon Valley, offering a remarkable opportunity for individuals seeking a fulfilling career. Our environment fosters collaboration, innovation, and a deep respect for diversity, creating a culture of excellence.Mission of the Office of the Chief Risk Officer:This office is...